D48.7

D48.7: Neoplasm of uncertain behavior of other specified sites

Billable / specific codeICD-10-CM

D48.7 is a billable, specific ICD-10-CM code for neoplasm of uncertain behavior of other specified sites. It is valid for submission on a claim.

Check D48.7 with the rest of the claim: free scrubber

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

neoplasm of uncertain behavior of connective tissue (D48.1-)
neoplasm of uncertain behavior of skin of eyelid (D48.5)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Neoplasm of uncertain behavior of eye
Neoplasm of uncertain behavior of heart
Neoplasm of uncertain behavior of peripheral nerves of orbit

Excludes1 inherited from the categories above D48.7

A category’s note binds every code beneath it.

Written on D48: Neoplasm of uncertain behavior of other and unspecified sites

neurofibromatosis (nonmalignant) (Q85.0-)

Other codes that can never be billed with D48.7

Their own Excludes1 notes name this code, so the conflict is not listed above.

D38Neoplasm of uncertain behavior of middle ear and respiratory and intrathoracic organs
D38.5Neoplasm of uncertain behavior of other respiratory organs
D48.2Neoplasm of uncertain behavior of peripheral nerves and autonomic nervous system

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

D48.7 is named in 26 Medicare coverage policies: 26 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A52480Oral Antiemetic Drugs (Replacement for Intravenous Antiemetics) - Policy Article
A52868Billing and Coding: Transesophageal Echocardiography (TEE)
A53060Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
A55717Billing and Coding: Lab: Flow Cytometry

Code history

Unchanged in every release from FY2024 to FY2027.